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JCR: Journal of Clinical Rheumatology:
doi: 10.1097/RHU.0b013e3181e08d65
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Raynaud Phenomenon of the Tongue in a Patient With Scleroderma

Rosato, Edoardo PhD; Salsano, Felice MD

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From the Clinical Immunology and Allergy Unit, Department of Clinical Medicine, Sapienza University of Rome, Viale dell'Università, Rome, Italy.

Correspondence: Edoardo Rosato, PhD, Clinical Immunology and Allergy Unit, Departments of Clinical Medicine, Sapienza University of Rome, Viale dell'Università 37, 00185 Rome, Italy. E-mail: edorosato@yahoo.com.

Raynaud phenomenon affecting the tongue is a rare but recognized symptom in patients with connective tissue disease, but lack of awareness of its existence may lead to a delay in diagnosis.1,2 A patient with typical, always stress-induced, Raynaud phenomenon attacks is presented.

A 23-year-old woman suffering from diffuse cutaneous systemic sclerosis, of 3 years' duration, recently presented recurrent attacks of Raynaud phenomenon affecting her tongue in the absence of digital ischemia. She complained about an intermittent, short-lasting, tingling sensation on both sides of the tongue associated with emotional stress, without difficulty in talking.

Under clinical observation, the tongue was normal (Fig. 1A) but ischemic (Fig. 1B) during the attack. Tongue pallor and cyanosis were followed by hyperemia when blood flow returned to normal. Ischemic symptoms were never recorded as cold induced, tested by ice cream ingestion, but as always provoked by emotional stress.

Figure 1
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REFERENCES

1. Bridges MJ, Kelly CA. Raynaud phenomenon affecting the tongue of a patient with scleroderma. Ann Rheum Dis. 2002;61:472.

2. Giunta JL. Raynaud disease with oral manifestations. Arch Dermatol. 1975;111:78–80.

© 2010 Lippincott Williams & Wilkins, Inc.

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